216041 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 362355 Page 1 of 1
4` ONE CIVIC SQUARE G H S
CARMEL, INDIANA 46032 8349 N WASHINGTON STREET CHECK AMOUNT: $1,468.57
SHERIDAN IN 46069 CHECK NUMBER: 216041
CHECK DATE: 1/912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 2012-1444 508 . 00 BUILDING REPAIRS & MA
1205 4350100 2012-1445 260 . 00 BUILDING REPAIRS & MA
1205 4350100 2012-1446 700 . 57 BUILDING REPAIRS & MA
GHS, Inc. 1^� guaranteed
Women-Owned Business Enterprise
8349 North Washington Street at
Sheridan, IN 46069 c
Jervice
ING-
Bill To Invoice
City of Carmel
Jeff Barnes Date Invoice#
One Civic Square
Carmel,IN 46032 12/12/2012 2012-1446
P.O. No. Due Date Terms
Jeff 1/11/2013 Net 30
Quantity Descri tion Price Each Amount
10 2 techs-Removed old dimmers;TS and rewired electrical box to do 65.00 650.00
away with dimmers and to accept regular switches in court room
2 3-way switches 7.14 14.28
4 single pole switches 4.77 19.08
1 wallplate 4.27 4.27
1 Thermo dec wallplate 3.42 3.42
1 blank wallplate 8.08 8.08
1 wire nuts 1.44 1.44
D Q
JAN U 7 2013
By
Thank you for your business. Total 0 $700.57
Payments/Credits $0.00
A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due
$700.57
a
GHS, Inc. �16 Women-Owned Business Enterprise Gmrmt�
8349 North Washington Street fL.1
Sheridan, IN 46069 C
Vervice
INC-
Bill To Invoice
City of Carmel
Jeff Barnes Date Invoice#
One Civic Square
Carmel,IN 46032
12/12/2012 2012-1445
P.O. No. Due Date Terms
Jeff 1/11/2013 Net 30
Quantity Des ri tion Price Each Amount
4 Installed 2 lamps in canopy,(lamps provided by City of Carmel) 65.00 260.00
did not work. TS and found there was no power-repaired.
E
Thank you for your business. Total l $260.00
Payments/Credits $0.00
A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due
$260.00
GIBS, Inc.
a�
Women-Owned Business Enterprise �S G.`eed
8349 North Washington Street C�° HQnest
Sheridan, IN 46069 C
lJervice
INC-
Bill To Invoice
City of Carmel Invoice
Jeff Barnes Date Invoice#
One Civic Square
Carmel,IN 46032 12/12/2012 2012-1444
P.O. No. Due Date Terms
Jeff 1/11/2013 Net 30
Quantity Description Price Each Amount
1 SF Corn-70w LED medium base lamp 508.00 508.00
D Q �
JAN 0 7 2013
By
Thank you for your business. Total $508.00
Payments/Credits $0.00
A 1.5%Service Charge will be assessed on amounts over 30 days past due. Balance Due
$508.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
GHS, Inc.
IN SUM OF $
8349 North Washington Street
Sheridan, IN 46069
$1,468.57
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1205 2012-1446 43-501.00 $700.57
Prior Year bill(s) is (are)true and correct and that the
1205 2012-1445 43-501.00 $260.00
Prior Year materials or services itemized thereon for
1205 2012-1444 43-501.00 $508.00 which charge is made were ordered and
received except
Mond , January 07, 2013
Director, Ad inistration l
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
12/12/12 2012-1446 $700.57
12/12/12 2012-1445 $260.00
12/12/12 2012-1444 $508.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer